Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northwest Telepsychiatry, PC

Organization Psychiatry Physician · NPI 1568025336

Northwest Telepsychiatry, PC is a Psychiatry Physician in Boise, Idaho. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

413 N Allumbaugh St Ste 101
Boise, ID 83704-9219
Phone: (208) 323-1125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1568025336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Bates — Owner · (208) 323-1125
NPI enumeratedApril 17, 2019
Last updated in NPPESMay 2, 2019
Mailing address413 N Allumbaugh St Ste 101, Boise, ID 83704-9219

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